JENIS

KELAMIN TANGGAL BCG / POLIO 1 DPT-HB1 POLIO 2 ROTA VIRUS DPT-HB2/ POLIO 3 ROTA DPT-HB3 POLIO 4 ROTAVIRUS
NO NAMA BAYI NIK ANAK LAHIR NAMA ORTU HBO POLIO1 /POLIO2 1 PCV 1 POLIO 3 VIRUS 2 PCV 2 /POLIO4 IPV 1 3 CAMPAK
L P
1 RAMDAN AFKAR FALAH 1104181305190001 L 5/13/2019 SRI AGUSTINA 5/13/2019 6/13/2019 6/13/2019 7/13/2019 7/13/2019 8/13/2019 8/13/2019 9/13/2019 9/13/2019 9/13/2019 2/13/2020
2 SYAUKIYAH RAMADHANI 1104185205190000 P 5/12/2019 DEVI 5/12/2019 6/13/2019 6/13/2019 7/13/2019 7/13/2019 8/13/2019 8/13/2019 7/13/2019 7/13/2019 7/13/2019 2/13/2020
3 KIM SYAHIDA aulia 1104185607190001 P 7/16/2019 PUPUT LIA WATI 7/16/2019 9/13/2019 9/13/2019 10/13/2019 10/13/2019 11/13/2019 11/13/2019 10/13/2019 10/13/2019 10/13/2019 5/13/2020
4 KHUMAIRAH 1104184108190001 P 8/1/2019 DESI FITRI 8/1/2019 9/13/2019 9/13/2019 10/13/2019 10/13/2019 11/13/2019 11/13/2019 10/13/2019 10/13/2019 10/13/2019 5/13/2020
5 FAJAR ALZIKRA 1104065610110001 L 8/21/2019 SUHERTATIK 8/21/2019 9/13/2019 9/13/2019 10/13/2019 10/13/2019 11/13/2019 11/13/2019 10/13/2019 10/13/2019 10/13/2019 5/13/2020
6 PUTRI ZAHRANI 1104186908190000 L 8/29/2019 SRI HANDAYANI 8/29/2019 10/13/2019 10/13/2019 11/13/2019 11/13/2019 12/13/2019 12/13/2019 11/13/2019 11/13/2019 11/13/2019 6/13/2020
7 ALZAENA NATUSHA UMAIZA 1104186208190001 P 8/22/2019 DARWATI 8/22/2019 10/13/2019 10/13/2019 11/13/2019 11/13/2019 12/13/2019 12/13/2019 11/13/2019 11/13/2019 11/13/2019 6/13/2020
8 AKMAL ZAFRINSYAH 1104180111190001 L 11/1/2019 EKA SUGIATI 11/1/2019 12/13/2019 12/13/2019 1/13/2020 1/13/2020 2/13/2020 2/13/2020 1/13/2020 1/13/2020 1/13/2020 8/13/2020
9 DYLAN ALFARIZKI 1104182602200001 L 2/26/2020 FITRI RAHAYU 2/26/2020 4/13/2020 4/13/2020 5/13/2020 5/13/2020 6/13/2020 6/13/2020 5/13/2020 5/13/2020 5/13/2020 11/13/2020
10 ALGIFARI SAQI 1104065508920002 L 4/20/2020 ROBANIAH 4/20/2020 6/13/2020 6/13/2020 7/13/2020 7/13/2020 8/13/2020 8/13/2020 7/13/2020 7/13/2020 7/13/2020 1/13/2021
11 HENDRA DERMAWAN L 5/15/2020 SURIYANI 5/15/2020 6/13/2020 6/13/2020 7/13/2020 7/13/2020 8/13/2020 8/13/2020 7/13/2020 7/13/2020 7/13/2020 1/13/2021
12 FITRI NURFATIMAH 1104187105200001 P 5/31/2020 YUNIATI 5/31/2020 7/13/2020 7/13/2020 8/13/2020 8/13/2020 9/13/2020 9/13/2020 13-08-20020 13-08-20020 13-08-20020 1/13/2021
13 NADIFA WARDANA 1104 0250 0789 0003 L 8/17/2020 WARDAH 8/17/2020 9/13/2020 9/13/2020 10/13/2020 10/13/2020 11/13/2020 11/13/2020 10/13/2020 10/13/2020 10/13/2020 5/13/2021
14 WINDHI 1104182108200001 L 8/21/2020 SRIWAHYUNI 8/21/2020 9/13/2020 9/13/2020 10/13/2020 10/13/2020 11/13/2020 11/13/2020 10/13/2020 10/13/2020 10/13/2020 6/13/2021
15 M KENZIE PRADITA pindah L 9/4/2020 YUSPI SULFA 9/4/2020 10/13/2020 10/13/2020 11/13/2020 11/13/2020 12/13/2020 12/13/2020 11/13/2020 11/13/2020 11/13/2020 6/13/2021
16 BARIC SABRAN 1104180609200001 L 9/16/2020 LINA KADARWATI 9/16/2020 10/13/2020 10/13/2020 11/13/2020 11/13/2020 12/13/2020 12/13/2020 1/13/2021 1/13/2021 1/13/2021 7/13/2021
17 ABYAN ATHAR 1104182509200001 L 9/25/2020 PATRIAH 9/25/2020 11/13/2020 11/13/2020 12/13/2020 12/13/2020 1/13/2021 1/13/2021 2/13/2021 2/13/2021 2/13/2021 8/13/2021
18 M RAYAN ALFARIZKI BLM ADA NIK L 10/31/2020 TITIS NURHAYATI 10/31/2020 12/13/2020 12/13/2020 1/13/2021 1/13/2021 4/13/2021 4/13/2021 6/13/2021 6/13/2021 6/13/2021 8/13/2021
19 AZKIYA RAFIKA pindah P 12/15/2020 ATRI SURYANI 12/15/2020 1/13/2021 1/13/2021 3/13/2021 3/13/2021 4/13/2021 4/13/2021 5/13/2021 5/13/2021 5/13/2021 10/13/2021
20 SYAHDI ALFARIZKI 1104 1829 1220 0001 L 12/29/2020 RAMDANI 12/29/2020 2/13/2021 2/13/2021 3/13/2021 3/13/2021 5/13/2021 5/13/2021 6/13/2021 6/13/2021 6/13/2021 10/13/2021
21 AFIFATUL LATIFAH 1104184501210001 P 1/5/2021 RIKA AFRIANI 1/5/2021 2/13/2021 2/13/2021 3/13/2021 3/13/2021 4/13/2021 4/13/2021 5/13/2021 5/13/2021 5/13/2021 10/13/2021
22 NAZWA PUTRI ALVANA BLM ADA NIK P 1/15/2021 ELI KUMIASIH 1/15/2021 2/13/2021 2/13/2021 3/13/2023 3/13/2023 4/13/2021 4/13/2021 13--05-2021 13--05-2021 13--05-2021 10/13/2021
23 AZKIYA NURSIFAH 1104185702210001 P 2/17/2021 NURWININGSIH 2/17/2021 4/13/2021 4/13/2021 5/13/2021 5/13/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 7/13/2021 12/13/2021
24 ZEHRA ELENA P 2/21/2021 BONDAN ELINA 2/21/2021 4/13/2021 4/13/2021 5/13/2021 5/13/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 7/13/2021 12/13/2021
25 KEHYANG EMBUN SANJANA pindah P 3/1/2021 NANIK RAHAYU 3/1/2021 4/13/2021 4/13/2021 5/13/2021 5/13/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 7/13/2021 pindah
26 FARADINA SYAHIRA 1104186403210001 P 4/1/2021 BONDAN ELINA 4/1/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 9/13/2021 9/13/2021 9/13/2021 1/13/2022
27 QIARA WENING ARTINA P 4/5/2021 NANDA ELISA 4/5/2021 5/13/2021 5/13/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 8/13/2021 1/13/2022
28 FATHAN RAMADHAN 1104182504210002 L 4/25/2021 WITA PURNAMA 4/25/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 9/13/2021 9/13/2021 9/13/2021 2/13/2022
29 AKRAM ZAIDAN 3516012604210004 L 4/26/2021 RIMA 4/26/2021 6/13/2021 6/13/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 10/13/2021 pindah
30 NISA DENISA 1104077004210006 P 4/30/2021 ENI COIRIYAH 4/30/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 9/13/2021 9/13/2021 9/13/2021 2/13/2022
31 DAMAR KUSUMA :1104181507210002 L 5/15/2021 SURYATI 5/15/2021 6/13/2021 6/13/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 9/13/2021 9/13/2021 9/13/2021 2/13/2022
32 ALSYAH NISA ARDHANI 1104184306210001 P 6/3/2021 SRI MURIANI 6/3/2021 7/13/2021 7/13/2021 8/13/2021 8/13/2021 10/13/2021 10/13/2021 11/13/2021 11/13/2021 11/13/2021 3/13/2022
33 ADELLA TIARA PUTRI :1104186506210001 P 6/26/2021 HALIMA SUKMAWATI 6/26/2021 8/13/2021 8/13/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 11/13/2021 11/13/2021 11/13/2021 4/13/2022
34 RIDHO PRATAMA pindah L 7/1/2021 SURYATI 7/1/2021 8/13/2021 8/13/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 11/13/2021 11/13/2021 11/13/2021 pindah
35 RANGGA JULI AKBAR 1104181507210001 L 7/15/2021 SUSI RAMADHANI 7/15/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 12/13/2021 12/13/2021 1/13/2022 1/13/2022 1/13/2022 4/13/2022
36 SIDZIKRY HERMANSYAH L 7/14/2021 RINI WAHYUNI 7/14/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 11/13/2021 11/13/2021 12/13/2021 12/13/2021 12/13/2021 6/13/2022
37 DELVIANO ELVANO HIJRAH :1104183007210001 P 8/1/2021 SANTRIANI 8/1/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 11/13/2021 11/13/2021 12/13/2021 12/13/2021 12/13/2021 5/13/2022
38 M ILYAS :1104181008210001 L 8/9/2021 LENI AGUSTINA 8/9/2021 9/13/2021 9/13/2021 10/13/2021 10/13/2021 12/13/2021 12/13/2021 13-01-20222 13-01-20222 13-01-20222 5/13/2022
39 DAVID RAFARDHAN :1104182008210001 L 8/17/2021 TRANMIYANTIM 8/17/2021 10/13/2021 10/13/2021 11/13/2021 11/13/2021 12/13/2021 12/13/2021 13-01-20222 13-01-20222 13-01-20222 6/13/2022
40 ADRENA SAILAH :1104186008210001 P 8/20/2021 SURIYANI 8/20/2021 10/13/2021 10/13/2021 11/13/2021 11/13/2021 12/13/2021 12/13/2021 13-01-20222 13-01-20222 13-01-20222 6/13/2022
41 NAHLA ALMAHARA :1104184909210002 P 9/9/2021 YULITA MAHBENGI 9/9/2021 11/13/2021 11/13/2021 12/13/2021 12/13/2021 1/13/2022 1/13/2022 2/13/2022 2/13/2022 2/13/2022 6/13/2022
42 RERE SILVIANA :1104184909210001 L 9/9/2021 JUMENI 9/9/2021 11/13/2021 11/13/2021 12/13/2021 12/13/2021 1/13/2022 1/13/2022 2/13/2022 2/13/2022 2/13/2022 6/13/2022
43 AVISHA YUSUF RAMANJAH pindah L 9/10/2021 JAYA WAHYUNINGSIH 9/10/2021 11/13/2021 11/13/2021 12/13/2021 12/13/2021 1/13/2022 1/13/2022 2/13/2022 2/13/2022 2/13/2022 6/13/2022
44 AZKA RAFARSYAH :1104181009210002 L 9/10/2021 JURAINI 9/10/2021 11/13/2021 11/13/2021 12/13/2021 1/13/2022 1/13/2022 2/13/2022 2/13/2022 2/13/2022 6/13/2022
45 JUNA SYAFRIAN pindah L 9/18/2021 HARIYATI 9/18/2021 11/13/2021 12/13/2021 1/13/2022 pindah
46 MIKHAILA SAIARAH 1104186610210001 P 10/26/2021 RINI MAHARA 10/26/2021 12/13/2021 1/13/2022 4/13/2022 13-05-20222 13-05-20222 8/13/2022
47 ADITIYA ARTHAYOGA pindah L 11/3/2021 ZUHRA MAHBENGI 11/3/2021 12/13/2021 1/13/2022 2/13/2022 3/13/2022 3/13/2022 8/13/2022
48 AZHARQOLBI DIANDRA 1104180511210001 L 11/5/2021 LIS SETIYANINGSIH 11/5/2021 12/13/2021 1/13/2022 2/13/2022 4/13/2022 4/13/2022 9/13/2022
49 BELVA SYAFIATUN NISSA 1104184901220001 P 1/9/2021 MARIANA 1/9/2021 2/13/2022 3/13/2022 5/13/2022 6/13/2022 6/13/2022 9/13/2022

50 AKBAR RAYAN ALFARIZKI 1104182708200001 L 8/27/2020 SITI ROFINGATUN 8/27/2020

51 SALSABILA FITRI :1104187004220001 P 4/30/2022 DIANA RAHMAWATI 4/30/2022 4/30/2022 4/30/2022 7/13/2022 7/13/2022 8/13/2022 8/13/2022 9/13/2022 9/13/2022 9/13/2022 10/13/2023 2/13/2023

52 ZAHRA SHIDQIYAH :1104186305220001 P 5/23/2022 SERLI HARDIYATI 5/23/2022 6/13/2022 6/13/2022 7/13/2022 7/13/2022 4/13/2023 8/13/2022 8/13/2022 5/13/2023 9/13/2022 9/13/2022 9/13/2022 10/13/2023 3/13/2023

53 GAISYAH RAFARSYAH P 6/11/2022 URVIANA ULVA 6/11/2022 7/13/2022 7/13/2022 8/13/2022 8/13/2022 6/13/2023 9/13/2022 9/13/2022 7/13/2023 11/13/2022 11/13/2022 11/13/2022 11/13/2022 3/13/2023

54 JUWAN AYYAS AULIA :1104182306220001 L 6/24/2022 JUMIATI 6/24/2022 8/13/2022 8/13/2022 9/13/2022 9/13/2022 8/13/2023 10/13/2022 10/13/2022 9/13/2023 11/13/2022 11/13/2022 11/13/2022 11/13/2022 4/13/2023

55 AZAM ALFARIZKI :1104180208220001 L 8/2/2022 DWI MARKHAMA 8/2/2022 9/13/2022 9/13/2022 10/13/2022 10/13/2022 8/13/2023 11/13/2022 11/13/2022 9/13/2023 2/13/2023 2/13/2023 2/13/2023 10/13/2023 5/13/2023

56 MUHAMAD NAZRIL 1104030708220001 L 8/9/2022 JAMIATI 8/9/2022 9/13/2022 9/13/2022 10/13/2022 10/13/2022 8/13/2023 2/13/2022 2/13/2022 9/13/2023 5/13/2023 5/13/2023 5/13/2023 5/13/2023 6/13/2023

57 SADAM RIZKI ADIPUTRA 1104181508220001 L 8/15/2022 DENI SUSI RAMADHANI 8/15/2022 9/13/2022 9/13/2022 10/13/2022 10/13/2022 8/13/2023 11/13/2022 11/13/2022 9/13/2023 2/13/2023 2/13/2023 2/13/2023 10/13/2023 5/13/2023

58 RAFA SAHREZA :1104180408220001 L 8/16/2022 ASMAWATI 8/16/2022 9/13/2022 9/13/2022 10/13/2022 10/13/2022 6/13/2023 2/13/2023 2/13/2023 7/13/2023 5/13/2023 5/13/2023 5/13/2023 10/13/2023 6/13/2023

59 EZRA RIFKIMIRAWAN :1104180409220001 L 9/24/2022 ASLINAWATI 9/24/2022 10/13/2022 10/13/2022 11/13/2022 11/13/2022 6/13/2023 2/13/2023 2/13/2023 7/13/2023 3/13/2023 3/13/2023 3/13/2023 10/13/2023 6/13/2023

60 M FIKRI KHOIRUL AZMI ;1104182804220002 L 4/26/2022 FITRI ANAH 4/26/2022 11/13/2022 11/13/2022 11/13/2022 10/13/2023 4/13/2023

61 LATIF ALZIKRI :1104180412220001 L 12/4/2022 IPON MULIASARI 12/4/2022 2/13/2023 2/13/2023 2/13/2023 2/13/2023 2/13/2023 3/13/2023 3/13/2023 3/13/2023 4/13/2023 4/13/2023 4/13/2023 4/13/2023 9/13/2023

62 SHAUQILELFAREZEL :1104181212220001 L 12/12/2022 VETI NURJANAH 12/12/2022 2/13/2023 2/13/2023 2/13/2023 2/13/2023 2/13/2023 3/13/2023 3/13/2023 3/13/2023 4/13/2023 4/13/2023 4/13/2023 4/13/2023 9/13/2023

63 AZKIYA ALFATUNISSA :1104184201230001 P 1/2/2023 AIDAH 1/2/2023 2/13/2023 2/13/2023 3/13/2023 3/13/2023 3/13/2023 4/13/2023 4/13/2023 4/13/2023 6/13/2023 6/13/2023 6/13/2023 6/13/2023 10/13/2023

64 AZKIYA FAYOLA :1104186812220001 P 12/28/2022 ROSMAYANA 12/28/2022 2/13/2023 2/13/2023 3/13/2023 3/13/2023 3/13/2023 4/13/2023 4/13/2023 4/13/2023 5/13/2023 5/13/2023 5/13/2023 5/13/2023 10/13/2023

SASARAN TAHUN 2024 16 BAYI

65 HAJIRA FEBIANTI :1104185202230001 P 2/11/2023 KHAIRANI 2/11/2023 3/13/2023 3/13/2023 4/13/2023 4/13/2023 4/13/2023 5/13/2023 5/13/2023 5/13/2023 6/13/2023 6/13/2023 6/13/2023 6/13/2023 11/13/2023

66 ADIBA BATARI 1104184403230002 L 3/4/2023 FITRIYANTI 3/4/2023 4/13/2023 4/13/2023 5/13/2023 5/13/2023 5/13/2023 6/13/2023 6/13/2023 6/13/2023 7/13/2023 7/13/2023 7/13/2023 7/13/2023 12/13/2023

67 ANERA HASNAH BLM ADA NIK P 3/25/2023 INDAH ISMAYUNI 3/25/2023 4/13/2023 4/13/2023 5/13/2023 5/13/2023 5/13/2023 6/13/2023 6/13/2023 6/13/2023 7/13/2023 7/13/2023 7/13/2023 7/13/2023 12/13/2023

68 RENO AJI FERDIANSAH ;110418704230001 L 4/17/2023 DESI RANI 4/17/2023 6/13/2023 6/13/2023 7/13/2023 7/13/2023 12/13/2023 6/13/2023 8/13/2023 8/13/2023 7/13/2023 8/13/2023 8/13/2023 9/13/2023 9/13/2023

69 IFANDY ARKAN ASSAUQY BLM ADA NIK L 7/28/2023 MAHYANI 7/28/2023 9/13/2023 9/13/2023 10/13/2023 10/13/2023 10/13/2023 10/13/2023 12/13/2023 12/13/2023 12/13/2023 11/13/2023 1/13/2024 1/13/2024 1/13/2024 1/13/2024

70 AZQIARA PUTRI AISYAH BLM ADA NIK P 8/3/2023 INDAH IRAWATI 8/3/2023 9/13/2023 9/13/2023 10/13/2023 10/13/2023 10/13/2023 10/13/2023 12/13/2023 12/13/2023 12/13/2023 11/13/2023 1/13/2024 1/13/2024 1/13/2024 1/13/2024

71 AURELIA ZIAN AISYA BLM ADA NIK P 8/11/2023 NANIN SUNDIAR 8/11/2023 9/13/2023 9/13/2023 10/13/2023 10/13/2023 10/13/2023 10/13/2023 12/13/2023 12/13/2023 12/13/2023 11/13/2023 1/13/2024 1/13/2024 1/13/2024

72 ALVIANA MAULANI 1104185408230002 P 8/14/2023 SITI WAHYUNI 8/14/2023 10/13/2023 10/13/2023 11/13/2023 11/13/2023 10/13/2023 11/13/2023 12/13/2023 12/13/2023 12/13/2023 12/13/2023 1/13/2024 1/13/2024 1/13/2024

73 PRICELIA ELMEERA KAUREEN 1104186508230001 P 8/25/2023 ELIS ROSITA 8/25/2023 10/13/2023 10/13/2023 11/13/2023 11/13/2023 10/13/2023 11/13/2023 12/13/2023 12/13/2023 12/13/2023 12/13/2023 1/13/2024 1/13/2024 1/13/2024
74 RISKA REVINA 1104185809230001 P 9/18/2023 LISTIANI 9/18/2023 10/13/2023 10/13/2023 11/13/2023 11/13/2023 11/13/2023 11/13/2023 12/13/2023 12/13/2023 12/13/2023 12/13/2023 1/13/2024 1/13/2024 1/13/2024

75 QUEEN ZOYA SIMAHBENGI 1104186410230001 P 10/24/2023 KUSMAWATI 10/24/2023 11/13/2023 11/13/2023 12/13/2023 12/13/2023 12/13/2023 12/13/2023 1/13/2024 1/13/2024 1/13/2024 2/13/2024 2/13/2024 2/13/2024

76 ALLTHA BANU ISMAIL 1104180201230001 L 02/11023 TRIWINDARTI 11/2/2023 12/13/2023 12/13/2023 1/13/2024 1/13/2024 1/13/2024 1/13/2024 2/13/2024 2/13/2024 2/13/2024

77 DANISH HAZZA KAUTSARRAZKY BLM ADA NIK L 12/5/2023 SITI HARTINA 12/5/2023 1/13/2024 1/13/2024 2/13/2024 2/13/2024 2/13/2024

78 ADREAN ALFATIH BLM ADA NIK L 12/8/2023 TRI SURYANI 12/8/2023 1/13/2024 1/13/2024 2/13/2024 2/13/2024 2/13/2024

79 NATAN ATHARAZKA 1104181812230001 L 12/18/2023 SANTI MARIYANA 12/18/2023

2/13/2024 2/13/2024
80
Bayi manisa BLM ADA NIK L 1/15/2023 BAYI MANISAH 12/15/2024
 CAMPAK
IPV 2 PCV 3 BOSTER / KET
DPTHB4

12/13/2020
12/13/2020
1/13/2021
2/13/2021
2/13/2021
3/13/2021
3/13/2021
1/21/1900
9/13/2021
11/13/2021
12/13/2021
12/13/2021
2/13/2022
3/13/2020
pindah
4/13/2022
4/13/2022
9/13/2022
pindah
7/13/2022
7/13/2022
7/13/2022
8/13/2022
9/13/2022

10/13/2022
10/13/2022
3/13/2023
11/13/2022
11/13/2022
3/13/2023
3/13/2023
2/13/2023

5/13/2023
3/13/2023
2/13/2023
2/13/2023
2/13/2023
2/13/2023
3/13/2023
3/13/2023
pindah pindah
3/13/2023
PINDAH
6/13/2023 PINDAH
pindah PINDAH
5/13/2023
 6/13/2023

3/13/2021 masuk desa

2/13/2023 11/13/2023

3/13/2023 11/13/2023

3/13/2023 1/13/2024 12/13/2023

4/13/2023 11/13/2023

2/13/2024

11/13/2023 1/13/2024

2/13/2024

9/13/2023

1/13/2024 2/13/2024 12/13/2023

1/13/2024

2/13/2024

2/13/2024

9/13/2023
 JENIS KELAMIN
NO NAMA BAYI NIK ANAK L P
1 ALEKSA FARJANA AYUNINDIA 1104184306230001 P
2 ALFARISKIYAH BLM ADA NIK P
3 CANTIKA ARABELA P
4 NOAH AVEECENA SHOFA 1104182303220001 L
5 MUHAMMAD ATTAQI RAFANDRA "1104182702230001 L
6 RESTU GIBRAN ALFARIS ;1104192605220001 L
7 INARA RIZKIANA NADIFAH P
8
TANGGAL BCG / DPT-HB1
LAHIR NAMA ORTU HBO POLIO1 /POLIO2 PCV 1 ROTA 1
6/3/2023 NURKHOTRIYAH 6/3/2023 7/13/2023 8/13/2023 8/13/2023 1/13/2024
NADIA 4/13/2023 3/13/2023
2/17/2023 HERLINA
3/23/2022 JUWANAH
SAFRIDA YULISTYA BS 11/13/2023 12/13/2023 12/13/2023 12/13/2023
5/26/2022 PREHATIN MURTI R
SISKAWATI 1/13/2024
 DPT-HB2
/POLIO3 DPT-HB3 IPV CAMPAK
PCV 2 ROTA 2 /POLIO4 ROTA RUBELA PCV3
11/13/2023 11/13/2023 12/13/2023 12/13/2023 12/13/2023
5/13/2023 4/13/2023 8/13/2023 8/13/2023
9/13/2023 9/13/2023 12/13/2023

1/13/2024 1/13/2024 1/13/2024

 CAMPAK
RUBELA
BOSTER KET
NUMPANG DARI KEPALA AKAL
NUMPANG DARI MEDAN
NUMPANG DARI JAGONG
13-10 2023 DARI TAKENGON
NUMPANG DARI KEPALA AKAL
12/14/2023 DARI JAGONG
 JUMLAH TOTAL DAN PERSENTASE WUS (HAMIL+TIDAK HAMIL) DIIMUNISASI Td STATUS WUS (HAMIL+TIDAK HAMIL) DIIMUNISASI Td STATUS Td2+ BUMIL
Td1 Td2 Td3 Td4 Td5 Td1 Td2 Td3 Td4 Td5 Td2+
BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI
# % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # %
85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128
LAPORAN BULANAN HASIL IMUNISASI RUTIN BAYI PUSKESMAS
DESA
PUSKESMAS ATU LINTANG
TAHUN 202
MENU UTAMA
HASIL IMUNISASI BAYI
HB0 (<24 JAM) HB0 (1-7 HARI)
BAYI BARU LAHIR SURVIVING INFANT
NO BULAN BLN INI S/D BLN INI BLN INI S/D BLN INI
L P JML L P JUMLAH #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

1 JANUARI

2 FEBRUARI

3 MARET

4 APRIL

5 MEI

6 JUNI

7 JULI

8 AGUSTUS

9 SEPTEMBER

10 OKTOBER

11 NOVEMBER

12 DESEMBER
 HB0 (TOTAL) BCG PO
S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI
% # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P
30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59
 Isilah Kolom yang Berwarna KUNING

POLIO1 DPT/HB-Hib (1) POLIO2

BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI
% # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P
60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89
 PNEUMOKOKUS (1) ROTAVIRUS (1) DPT/HB
S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI
% # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P
90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119
 DPT/HB-Hib (2) POLIO3 PNEUMOKOKUS (2)
BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI
% # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P
120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149
2) DPT/HB-Hib (3) POLIO4 IP
S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI
% # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P
150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179
 IPV1 ROTAVIRUS (2) Campak-Rubella (MR)
BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI
% # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML #L % #P % # JML % #L % #P
180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209
R) IPV2 JAPANESE ENCEPHALITIS IMUNISASI DA
S/D BLN INI BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI
% # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P % # JML % #L % #P
210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239
 HASIL IMUNISASI BADUTA
IMUNISASI DASAR LENGKAP PNEUMOKOKUS (3) DPT/HB/Hib
SASARAN BADUTA
BLN INI S/D BLN INI BLN INI S/D BLN INI BLN INI
% # JML % #L % #P % # JML % L P JML #L % #P % # JML % #L % #P % # JML % #L % #P % # JML %
240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269
MUNISASI BADUTA
DPT/HB/Hib CAMPAK-RUBELLA (MR)
S/D BLN INI BLN INI S/D BLN INI
#L % #P % # JML % #L % #P % # JML % #L % #P % # JML %
270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287
 VITAMIN A
DESA : DAMAR MULYO
BULAN :FEBRUARI
JENIS KELAMIN
NO NAMA BAYI NIK ANAK TANGGAL LAHIR NAMA ORTU VITAMIN
L P A KETERANGAN
1 RAMDAN AFKAR FALAH 1104181305190001 L 5/13/2019 SRI AGUSTINA
MERAH
2 SYAUKIYAH RAMADHANI 1104185205190000 P 5/12/2019 DEVI
MERAH
3 KIM SYAHIDA aulia 1104185607190001 P 7/16/2019 PUPUT LIA WATI
MERAH
4 KHUMAIRAH 1104184108190001 P 8/1/2019 DESI FITRI
MERAH
5 FAJAR ALZIKRA 1104065610110001 L 8/21/2019 SUHERTATIK
MERAH
6 PUTRI ZAHRANI 1104186908190000 L 8/29/2019 SRI HANDAYANI
MERAH
7 ALZAENA NATUSHA UMAIZA 1104186208190001 P 8/22/2019 DARWATI
MERAH
8 AKMAL ZAFRINSYAH 1104180111190001 L 11/1/2019 EKA SUGIATI
MERAH
9 DYLAN ALFARIZKI 1104182602200001 L 2/26/2020 FITRI RAHAYU
MERAH
10 ALGIFARI SAQI 1104065508920002 L 4/20/2020 ROBANIAH
MERAH
11 HENDRA DERMAWAN L 5/15/2020 SURIYANI
MERAH
12 FITRI NURFATIMAH 1104187105200001 P 5/31/2020 YUNIATI
MERAH
13 NADIFA WARDANA 1104 0250 0789 0003 L 8/17/2020 WARDAH
MERAH
14 WINDHI 1104182108200001 L 8/21/2020 SRIWAHYUNI
MERAH
15 M KENZIE PRADITA pindah L 9/4/2020 YUSPI SULFA
MERAH
16 BARIC SABRAN 1104180609200001 L 9/16/2020 LINA KADARWATI
MERAH
17 ABYAN ATHAR 1104182509200001 L 9/25/2020 PATRIAH
MERAH
18 M RAYAN ALFARIZKI BLM ADA NIK L 10/31/2020 TITIS NURHAYATI
MERAH
19 AZKIYA RAFIKA pindah P 12/15/2020 ATRI SURYANI
MERAH
20 SYAHDI ALFARIZKI 1104 1829 1220 0001 L 12/29/2020 RAMDANI
MERAH
21 AFIFATUL LATIFAH 1104184501210001 P 1/5/2021 RIKA AFRIANI
MERAH
22 NAZWA PUTRI ALVANA BLM ADA NIK P 1/15/2021 ELI KUMIASIH
MERAH
23 AZKIYA NURSIFAH 1104185702210001 P 2/17/2021 NURWININGSIH
MERAH
24 ZEHRA ELENA P 2/21/2021 BONDAN ELINA
MERAH
25 KEHYANG EMBUN SANJANA pindah P 3/1/2021 NANIK RAHAYU
MERAH
26 FARADINA SYAHIRA 1104186403210001 P 4/1/2021 BONDAN ELINA
MERAH
27 QIARA WENING ARTINA P 4/5/2021 NANDA ELISA
MERAH
28 FATHAN RAMADHAN 1104182504210002 L 4/25/2021 WITA PURNAMA
MERAH
29 AKRAM ZAIDAN 3516012604210004 L 4/26/2021 RIMA
MERAH
30 NISA DENISA 1104077004210006 P 4/30/2021 ENI COIRIYAH
MERAH
31 DAMAR KUSUMA :1104181507210002 L 5/15/2021 SURYATI
MERAH
32 ALSYAH NISA ARDHANI 1104184306210001 P 6/3/2021 SRI MURIANI
MERAH
33 ADELLA TIARA PUTRI :1104186506210001 P 6/26/2021 HALIMA SUKMAWATI
MERAH
34 RIDHO PRATAMA pindah L 7/1/2021 SURYATI
MERAH
35 RANGGA JULI AKBAR 1104181507210001 L 7/15/2021 SUSI RAMADHANI
MERAH
36 SIDZIKRY HERMANSYAH L 7/14/2021 RINI WAHYUNI
MERAH
37 DELVIANO ELVANO HIJRAH :1104183007210001 P 8/1/2021 SANTRIANI
MERAH
38 M ILYAS :1104181008210001 L 8/9/2021 LENI AGUSTINA
MERAH
39 DAVID RAFARDHAN :1104182008210001 L 8/17/2021 TRANMIYANTIM
MERAH
40 ADRENA SAILAH :1104186008210001 P 8/20/2021 SURIYANI
MERAH
41 NAHLA ALMAHARA :1104184909210002 P 9/9/2021 YULITA MAHBENGI
MERAH
42 RERE SILVIANA :1104184909210001 L 9/9/2021 JUMENI
MERAH
43 AVISHA YUSUF RAMANJAH pindah L 9/10/2021 JAYA WAHYUNINGSIH
MERAH
44 AZKA RAFARSYAH :1104181009210002 L 9/10/2021 JURAINI
MERAH
45 JUNA SYAFRIAN pindah L 9/18/2021 HARIYATI
MERAH
46 MIKHAILA SAIARAH 1104186610210001 P 10/26/2021 RINI MAHARA
MERAH
47 ADITIYA ARTHAYOGA pindah L 11/3/2021 ZUHRA MAHBENGI
MERAH
48 AZHARQOLBI DIANDRA 1104180511210001 L 11/5/2021 LIS SETIYANINGSIH
MERAH
49 BELVA SYAFIATUN NISSA 1104184901220001 P 1/9/2021 MARIANA
MERAH
JENIS KELAMIN
MERAH
NO NAMA BAYI NIK ANAK TANGGAL LAHIR NAMA ORTU
L P
MERAH
50 ARLINGGA TEGUH P pindah L 2/4/2021 PUTRI RAHAYU
MERAH
51 AKBAR RAYAN ALFARIZKI 1104182708200001 L 8/27/2020 SITI ROFINGATUN
MERAH
52 SALSABILA FITRI :1104187004220001 P 4/30/2022 DIANA RAHMAWATI
MERAH
53 ZAHRA SHIDQIYAH :1104186305220001 P 5/23/2022 SERLI HARDIYATI
MERAH
54 GAISYAH RAFARSYAH P 6/11/2022 URVIANA ULVA
MERAH
55 JUWAN AYYAS AULIA :1104182306220001 L 6/24/2022 JUMIATI
MERAH
56 AZAM ALFARIZKI :1104180208220001 L 8/2/2022 DWI MARKHAMA
MERAH
57 MUHAMAD NAZRIL 1104030708220001 L 8/9/2022 JAMIATI
MERAH
58 SADAM RIZKI ADIPUTRA 1104181508220001 L 8/15/2022 DENI SUSI RAMADHANI
MERAH
59 RAFA SAHREZA :1104180408220001 L 8/16/2022 ASMAWATI
MERAH
60 EZRA RIFKIMIRAWAN :1104180409220001 L 9/24/2022 ASLINAWATI
MERAH
61 M FIKRI KHOIRUL AZMI ;1104182804220002 L 4/26/2022 FITRI ANAH
MERAH
62 LATIF ALZIKRI :1104180412220001 L 12/4/2022 IPON MULIASARI
MERAH
63 SHAUQILELFAREZEL :1104181212220001 L 12/12/2022 VETI NURJANAH
MERAH
64 AZKIYA ALFATUNISSA :1104184201230001 P 1/2/2023 AIDAH
MERAH
65 AZKIYA FAYOLA :1104186812220001 P 12/28/2022 ROSMAYANA
MERAH
66 HAJIRA FEBIANTI :1104185202230001 P 2/11/2023 KHAIRANI
MERAH
67 ADIBA BATARI 1104184403230002 L 3/4/2023
BIRU
68 ANERA HASNAH BLM ADA NIK P 3/25/2023 INDAH ISMAYUNI
BIRU
69 BAYI RAMA FITRI BLM ADA NIK L 4/13/2023 RAMA FITRI
BIRU
70 RENO AJI FERDIANSAH ;110418704230001 L 4/17/2023 DESI RANI
BIRU
71 BAYI NENI BLM ADA NIK L 4/27/2023 NENI
BIRU
72 IFANDY ARKAN ASSAUQY BLM ADA NIK L 7/28/2023 MAHYANI
BIRU
73 AZQIARA PUTRI AISYAH BLM ADA NIK P 8/3/2023 INDAH IRAWATI
BIRU
74 AURELIA ZIAN AISYA BLM ADA NIK P 8/11/2023 NANIN SUNDIAR
BIRU
75 ALVIANA MAULANI 1104185408230002 P 8/14/2023 SITI WAHYUNI
BIRU
76 PRICELIA ELMEERA KAUREEN BLM ADA NIK P 8/25/2023 ELIS ROSITA
BIRU
77 RISKA REVINA 1104185809230001 P 9/18/2023 LISTIANI

78 QUIN ZOYA SIMAHBENGI BLM ADA NIK P 10/24/2023 KUSMAWATI

79 ABDULLAH BANU ISMAIL BLM ADA NIK L 02/11023 TRIWINDARTI

80 DANISH HAZZA KAUTSARRAZKY BLM ADA NIK L 12/5/2023 SITI HARTINA

81 BAYI TRI SURYANI BLM ADA NIK L 12/8/2023 TRI SURYANI

82 BAYI SANTI BLM ADA NIK L 12/18/2023 BAYI SANTI MARIYANA

34
Bayi manisa BLM ADA NIK L 1/15/2023 BAYI MANISAH